Where more substantial work is needed to restore teeth whilst reshaping, straightening and even filling gaps we can use the full range of laboratory based complex restorations.
Where something stronger is required to restore a tooth we will create exceptionally strong and beautiful crowns or inlays which will give stability for many, many years to come. Where aesthetics is not paramount we create a lot of fabulous gold crown and inlay work. This is probably the best material to use in the mouth as it is totally non-reactive and bio-compatible. It will not stain or tarnish and plaque struggles to grow on it; so it is easier to clean than your own teeth. They can be made extremely strong with a very minimal reduction in the healthy tissues of the tooth, sitting nicely with our minimally invasive ethos.
Of course there are situations where the gold would be visible and it is therefore not acceptable from an aesthetic perspective. On these occasions we most often construct all-ceramic crowns and inlays. These are constructed from a pressed ceramic material which is bonded to the tooth structure at the molecular level in the same way as our white fillings. These crowns are phenomenally strong and beautiful. To enhance the beauty of these restorations we work very closely with our laboratory utilising digital photography and video calls to discuss your needs and to ensure as natural a result as possible.
Bridges are the traditional method of filling the space left by a missing tooth in a fixed manner, i.e. not removable.
A bridge is usually designed using the teeth on either side of the gap as supports. In some cases this requires the cutting of otherwise intact teeth and almost always requires removal of sound & healthy tooth tissue. This inevitably reduces the long term prognosis of these support teeth and in some cases may jeopardise the pulp, or nerve, of the tooth, something that should be avoided if possible.
However, if adjacent teeth are already crowned or heavily filled, this may be an excellent option with no worse a prognosis than your current situation. A bridge is reliant upon the underlying teeth supporting it for its long-term success. It is therefore important that your dentist has a very clear picture of the bone and gums supporting those teeth which will support the bridge.
Resin Retained Bridgework
These work in a similar way to conventional bridges but are attached, usually to just one adjacent tooth with a slender metal or ceramic wing. They have the advantage of being less destructive than conventional bridges but they are solely reliant on the bonding that holds them in place. This means that they work better in the front of the mouth and only where the bite is light and stable.
Introduction to Dental Implants
As a relatively new treatment type (it has been around for about 30 years) there is a lot written about implants online and in the press.
What is a Dental Implant?
A dental implant is a prosthetic replacement for a missing tooth. It is a small, highly engineered device made of medical grade titanium sometimes alloyed with a mineral called zirconium. These materials are biocompatible (i.e. cause no irritation or reaction from the body) and offer strength and durability as well as a unique property that allows it to fuse directly with bone – a process known as osseointegration.
A natural tooth is made up of the crown (enamel and dentine), the visible part above the gums and the root which extends into the jawbone and is connected to it by the periodontal ligament. The root is the part of the tooth effectively replaced by an implant.
There are commonly three parts to what is described as a ‘dental implant’:
- The implant device itself, which is inserted directly into the bone and fuses to it (osseointegration).
- The abutment, the piece that connects theimplant device to the third part,
- The overlying individual crown, multi-unit bridge or denture.